A Framework for Tracking Former Patients in the Electronic Health Record Using an Educational Registry

Gregory E. Brisson, Cynthia Barnard, Patrick D. Tyler, David M. Liebovitz, Kathy Johnson Neely

Research output: Contribution to journalArticle

Abstract

One challenge of contemporary medical education is that shorter lengths of stay and time-limited clerkships often interrupt a student’s relationship with a patient before a diagnosis is made or treatment is completed, limiting the learning experience. Medical students sometimes use electronic health records (EHRs) to overcome these limitations. EHRs provide access to patients’ future medical records, enabling students to track former patients across care venues to audit their diagnostic impressions and observe outcomes. While this activity has potential to improve clinical training, there is a risk of unintended harm to patients through loss of privacy. Students need guidance on how to perform this activity appropriately. This article describes an ethical framework for tracking using an “educational registry,” a list of former patients housed within the EHR that one follows longitudinally for educational purposes. Guiding principles include obtaining permission from patients, having legitimate educational intent, and restricting review of records to those essential for training. This framework could serve as a foundation for institutions seeking to develop a policy on tracking former patients, and may facilitate research on the use of EHRs to improve medical education, such as reducing diagnostic error and promoting self-directed learning.

LanguageEnglish (US)
Pages1-4
Number of pages4
JournalJournal of General Internal Medicine
DOIs
StateAccepted/In press - Jan 4 2018

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Patient Identification Systems
Electronic Health Records
Registries
Students
Medical Education
Learning
Patient Harm
Privacy
Diagnostic Errors
Medical Students
Medical Records
Length of Stay
Patient Care
Research

ASJC Scopus subject areas

  • Internal Medicine

Cite this

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A Framework for Tracking Former Patients in the Electronic Health Record Using an Educational Registry. / Brisson, Gregory E.; Barnard, Cynthia; Tyler, Patrick D.; Liebovitz, David M.; Neely, Kathy Johnson.

In: Journal of General Internal Medicine, 04.01.2018, p. 1-4.

Research output: Contribution to journalArticle

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